VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Laili Akahanzadah
9017 Haywood Ave
Lorton, VA 22079
(703) 926-4843

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Feb. 8, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies 20 Access to minor?s records 22.1 Background Checks Code; carbon monoxide detectors

Technical Assistance:

Technical assistance was offered related to: Background checks for caregivers and household member when they reach ages 14 and 18 years; infant equipment; staff records; points; non-prescription OTC products; and children's health forms.

Comments:

An unannounced in person renewal inspection was conducted on 2/7/22 from 10:25 am to 11:10 am. There were 7 children (23 points) present with 2 caregivers supervising. The children were observed in free play and eating morning snack. A walk through of the family day home was conducted to assess the indoor and outdoor space used by children. Emergency drill records, first aid supplies, infant bottles and cribs were reviewed. 3 children, 2 caregiver's and 1 adult household member records were reviewed. Currently there were no children with allergies or medications. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. For any questions regarding this inspection, please contact me at mahrukh.aziz@doe.virginia.gov or 571-835-4718.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on records review and staff interview, the provider did not obtain fingerprint results for a caregiver prior to the first day of employment; and for a household member that reached the age of 18 years. Evidence: 1. Caregiver # 1's hire date was 10/12/21. 2. Caregiver's # 1's record had fingerprint results but they were not obtained prior to the first day of employment. The results were dated 12/30/21. 3. Household Member # 1 reached the age of 18 years on 12/8/21. 4. The provider stated that she had not yet obtained fingerprint results for Household Member # 1.
Plan of Correction:	Fingerprints were obtained in 12/2021. In the future, fingerprints will be obtained for any new employee prior to the first date of employment.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review and staff interview, the family day home did not obtain a central registry finding within 30 days of employment for an employee. Evidence: 1. Caregiver # 1's first day of employment was 10/12/21. 2. The provider stated that she was unsure if the central registry had to be completed for Caregiver # 1 so she did not submit a request. 3. To this date, Caregiver # 1's central registry findings have not been obtained.
Plan of Correction:	The form will be submitted as soon as possible. The licensing inspector will be updated as soon as the results are obtained.
Standard #:	8VAC20-800-100-A
Description:	Based on records review, the provider did not obtain documentation of a physical examination for children in care within 30 days of enrollment. Evidence: 1. Child # 1's first day of enrollment was 11/1/21. 2. Documentation of a physical examination for Child # 1 was not obtained and unavailable for review.
Plan of Correction:	I will ask the parents to provide me with a copy.
Standard #:	8VAC20-800-110-B
Description:	Based on record review, immunization reports were not signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: Child # 1's health forms included a printout of immunizations. However, neither the health form nor the printout of the immunizations was signed and dated by a physician.
Plan of Correction:	I will ask the parent to provide me with a complete health form with signatures and dates.
Standard #:	8VAC20-800-120-B
Description:	Based on records review and staff interview, the provider did not complete two references as to character and reputation as well as competency before employment. Evidence: 1. Caregiver # 1's hire date was 10/12/21. 2. The provider stated that she had not completed two reference checks for Caregiver # 1 before employment. There were no references included in Caregiver # 1's record to review.
Plan of Correction:	References will be completed and documentation will be maintained in the caregiver's record. Reference checks was completed on 2/9/22.
Standard #:	8VAC20-800-170-A
Description:	Based on records review, the provider did not obtain from each caregiver at the time of hire and prior to coming into contact with children; and each adult household member a current Report of Tuberculosis (TB) Screening. Evidence: 1. Caregiver # 1's hire date was 10/12/21. A current TB screening was not obtained from Caregiver # 1 prior to that date. 2. Household Member # 1 reached the age of 18 years on 12/8/21. A current TB screening was not obtained from Household Member # 1.
Plan of Correction:	Caregiver # 1 and Household Member # 1 have made appointments to see a doctor.
Standard #:	8VAC20-800-180-A
Description:	Based on records review, the provider did not obtain for each caregiver a current Report of Tuberculosis (TB) Screening form, every two years from the date of the first screening. Evidence: The provider's most recent TB screening expired on 9/19/21. A subsequent TB screening was not obtained every two years.
Plan of Correction:	Made an appointment to see a doctor.
Standard #:	8VAC20-800-200-C
Description:	Based on staff interview, no documentation of the staff orientation for an assistant was completed. Evidence: The provider stated that she completed the orientation with Caregiver # 1 prior to her hire date, but did not complete any documentation.
Plan of Correction:	The orientation will be completed with signature and date by the caregiver.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, caregivers did not ensure that children's hands are washed before eating. Evidence: The children were observed eating morning snack after playing with toys. However children's hands were not washed before eating.
Plan of Correction:	We will make sure that children's hands are washed before eating.